Living with Covid doesn’t mean ignoring it, says BMA ahead of PM announcement
Prime MinisterBoris Johnson says his latest “living with Covid” recovery plan will return people’s freedom as he prepares to scrap the legal duty to self-isolate in England.
The prime minister will meet the Cabinet later this morning before updating parliament on his plans this afternoon.
Mr Johnson said the end to restrictions would “mark a moment of pride as we begin to learn to live with Covid” – despite serious concerns being expressed by health professionals.
Health organisations have warned that Johnson’s determination to sweep away Covid regulations are premature.
WHATEVER HAPPENED TO ‘FOLLOWING THE SCIENCE’?
Responding to calls from NHS leaders for free Covid tests and self-isolation rules to continue ahead of the UK Government’s Living With Covid Strategy announcement today, Dr Chaand Nagpaul, BMA council chair, said: “It’s clear that we will have to learn to adjust to the reality of Covid-19.
“However, the BMA agrees with NHS leaders that living with Covid doesn’t mean ignoring its continued harm to many, and must not result in removing protections to some of the most vulnerable in our society.
“Scrapping all restrictions and allowing the infection to spread in an unmonitored and unfettered manner would be damaging to the health of millions, including for those who go on to suffer Long Covid symptoms.
“Without access to free testing for the public or a legal requirement for the sick to self-isolate, protecting others from illness and surveillance of the disease and its prevalence vanishes; we won’t know where outbreaks are happening, whether they are circulating among more vulnerable populations, and this means local public health teams will be lacking key information to be able to respond effectively to Covid outbreaks in their local areas.
“Charging for tests will only discourage people from checking if they have Covid, especially if their symptoms are mild enough for them to continue socialising and mixing with others.
“Currently, case rates remain exceptionally high. When Plan B measures were introduced in December, there were 7,373 patients in hospital in the UK. While rates are now falling, the latest figure sits at 11,721. The ONS also estimates that around 1 in 20 people in England were infected last week, and there continues to be significant work absence due to Covid.
“The decision to remove all restrictions is not based on current evidence and is premature. It clearly hasn’t been guided by data or done in consultation with the healthcare profession.
“As the BMA has previously warned, Covid poses a serious risk to public health as well as NHS capacity if cases are allowed to spread rapidly again. Living with Covid-19 doesn’t mean ignoring it. As well as keeping free testing and self-isolation measures, it’s vital that the ONS infection survey carries on, and that local authorities are supported to contain outbreaks with necessary restrictions.
“This is particularly important for protecting the vulnerable, and Government must ensure that these groups are allowed to live as normal a life as possible as the pandemic subsides. This means giving them access to free FFP2/3 masks where required so they can protect themselves, and providing healthcare professionals with clear, clinical guidance to advise them and other patients in the community.
“Healthcare settings are places which people attend to get better not to get sick, so it would be totally wrong to remove the protections in healthcare settings that currently exist, such as mask wearing, without discussion with healthcare workers and without evidence to support it.
“Only yesterday, the World Health Organisation released updated guidance for contact tracing and quarantine, saying in its report that any interruption or shortening of these measures will increase the risk of onward transmission.
“Of course, we all want to see a time when measures are no longer needed. However, relaxing them must be done sensibly, based on data, and gradually, in consultation with the profession, and not at the cost of public health or our already-stretched NHS.”
Leaving it up to individuals and employers to decide on isolation periods will place health care staff and patients at risk, the Royal College of Nursing has warned.
the government is expected to confirm plans to end the legal requirement to self-isolate following a positive COVID-19 test, in a move described as signalling the end of the pandemic.
But the pandemic is far from over for health care staff, and the lack of clarity and guidance on isolation rules going forwards could put our members and their patients at risk.
By “passing the buck” to nursing staff and employers to decide when to work if staff fall sick with COVID-19, the government is leaving the way open to increased infection rates and yet more pressure on an already overworked NHS.
The RCN is calling for the government to produce a specific plan for nursing staff working in health and social care which supports them when unwell.
RCN General Secretary & Chief Executive, Pat Cullen, said: “Ending the legal requirement to self-isolate following a positive test is a big leap in the dark. The government has yet to present any scientific evidence to support its plan.
“The public messaging around this is very mixed and unclear: with any other highly infectious disease you would be expected – and supported – to stay away from work if you caught it, yet with COVID-19 we’re being told you should learn to live with it. This doesn’t add up.
“Health and social care isn’t like other sectors – staff treat some of the most vulnerable in society whose wellbeing, and their own, mustn’t be put at risk.”
The RCN also stresses that nursing staff must continue to have access to free lateral flow tests for their and their patients’ sake amid reports they could be scrapped.
Despite advice and warnings from a range of health professionals the Prime Minister seems determined to take the gamble and sweep away Covid regulations, however, and whatever is decided in England will have an impact on public health in the other nations of the UK.
First Minister Nicola Sturgeon is expected to announce the Scottish Government’s response tomorrow.
The Scottish Government is to provide funding of £30 million to support GP practices to continue providing a high level of care to patients through winter and into next year.
The funding will help with the provision of existing GP services, including:
supporting more face-to-face appointments
extra GP sessions, practice nurse time and non-core hours covering all appointments
more administrative time and practice manager time
organised cover for reflection, learning and innovation
external GP locum sessions
Health Secretary Humza Yousaf said: “The contribution general practice makes to the health and wellbeing of communities, through continuity of care and meaningful relationships with patients, is invaluable.
“We recognise that, as face-to-face appointments have resumed and demand is increasing, surgeries are working overtime to meet patient needs.
“This support package will allow practices to target investment where it is most required to sustain the high levels of care they have always provided through what is likely to be the most challenging period in the history of the NHS.”
Chair of the BMA’s Scottish GP Committee Dr Andrew Buist said: “BMA Scotland has consistently sought a greater level of support for GPs and we are pleased that the Scottish Government has listened and taken this step in the face of the huge challenges of this winter and beyond.
“With demand continuing to outstrip capacity, this will help support practices in the coming months and plug some of the gaps caused by difficulties in recruiting to practice teams.
“It is particularly good GPs have flexibility to focus funding on what will make the most difference to their practice and their patients. As we look ahead to next year and the ongoing threat to the sustainability of practices, this is a welcome addition we have secured in negotiation with the Government.”
The support package will be given in two instalments of £15 million, in December 2021 and April 2022.
The latest Emergency Department performance figures for September 2021 published today by NHS England show the highest number of 12-hour stays on record, the highest number of four-hour stays on record, and the worst four-hour performance ever recorded.
The latest figures were published on the day the UK Government set out it’s Plan to improve access for NHS patients and support GPs.
The data show in September 2021 there were 1,392,542 attendances to Type 1 Emergency Departments in England.
Four-hour performance has deteriorated for the sixth consecutive month, once again reaching a record low. Just 64% of patients in Type 1 Emergency Departments were admitted, transferred or discharged within four-hours.
A record breaking 5,025 patients stayed in an Emergency Department for 12-hours or more from decision to admit to admission. This is an 80% increase on the previous month, August 2021, and it is the highest number of 12-hour stays since records began and is almost a third higher than the previous highest, recorded in January 2021. The number of 12-hour stays from time of arrival is not published but is likely to be significantly higher.
Dr Katherine Henderson, President of the Royal College of Emergency Medicine, said: “This data is bleak and is a stark warning of the crisis that we are heading towards this winter.
“Dangerous crowding has returned to Emergency Departments, exit block is preventing a flow of patients through the hospital, and there have been widespread reports of ambulances queuing outside hospitals facing long handover delays.
“For patients, this means long and potentially frustrating waiting times in the Emergency Department. For staff it is incredibly challenging, as they do all they can to continue to deliver care quickly amid rising attendances and pressures.
“At the same time the health service continues to manage covid as cases have been rising steeply, with the NHS now treating around 14 times as many patients as the same time last year.
“Trusts also continue to deliver elective care but there is a real threat that in the coming months this may once again have to be paused to manage pressures on urgent and emergency care and the rising number of covid cases.
“The winter presents a significant challenge for the health service; staff are increasingly worried about the NHS’ ability to cope. The Government need to recognise the potential crisis and support the health and care service as it tackles the challenges ahead.
“NHS England’s Urgent and Emergency Care Recovery 10 Point Action Plan is a blueprint on how to manage these pressures in the short and medium term. Trusts must do all they can to follow this guidance to mitigate pressures across the system and prevent further deterioration in performance.
“But the underlying cause of all of the problems facing the NHS is a decade of underfunding. The health service has for a long time struggled to meet the demand of the population. It is short on staff across the board; capacity has not risen in line with demand. Existing staff are exhausted, with many looking to leave after having to shoulder an ever-increasing workload.
“So far promises to increase the workforce have fallen short. The forthcoming spending review is an opportunity for the government to signal it’s intent to boost staffing with a long-term workforce plan and rescue the NHS in the long run.”
Meanwhile the NHS, working closely with the Department of Health and Social Care, has today published a blueprint for improving access to GP appointments for patients alongside supporting GPs and their teams in England.
Surgeries will be provided with additional funding to boost their capacity to increase the proportion of appointments delivered face to face, as part of a major drive to support general practice and level up performance, including additional efforts to tackle abuse against staff.
The measures, including a £250 million winter access fund from NHS England, will enable GP practices to improve availability so that patients who need care can get it, often on the same day if needed. The investment will fund locums and support from other health professionals such as physiotherapists and podiatrists, with a focus on increasing capacity to boost urgent same-day care. This is in addition to £270 million invested over the previous 11 months to expand capacity and support GPs.
Amanda Pritchard, chief executive of the NHS, said: “Improving access to high quality general practice is essential for our patients and for the rest of the NHS too.
“It is a personal priority and today NHS England is taking both urgent and longer term action to back GPs and their teams with additional investment and support.”
Secretary of State for Health and Social Care Sajid Javid said: “I am determined to ensure patients can see their GP in the way they want, no matter where they live. I also want to thank GPs and their teams for their enormous efforts in the most challenging times in living memory.
“Our new plan provides general practice teams with investment and targeted support. This will tackle underperformance, taking pressure off staff so they can spend more time with patients and increase the number of face-to-face appointments.
“Alongside this we are setting out more measures to tackle abuse and harassment so staff at GP surgeries who work so tirelessly to care for patients can do so without having to fear for their safety.”
The NHS England document makes clear that every GP practice must seek patients’ input and respect preferences for face to face care unless there are good clinical reasons to the contrary.
The extra investment will help to increase the number of appointments delivered, while local health systems will be free to determine how best to tackle particular challenges to access and provision of care in their own community, which could include putting in place additional resource for walk-in consultations.
Local plans will need to deliver these improvements in access, with practices that do not provide appropriate levels of face to face care not able to access the additional funding, and instead offered support to improve.
Under the plan, the NHS will also support upgrades to telephone systems, ensuring that more patients can quickly and easily speak to general practice staff, and help the public avoid long waits when contacting a surgery by phone.
The government will also reduce administrative burdens on GPs by reforming who can provide medical evidence and certificates such as FIT notes and DVLA checks – freeing up time for more appointments.
UKHSA will complete its review of infection prevention and control (IPC) guidance in general practice and set out practical steps on IPC measures in GP settings which could increase the number of patients that can be seen.
As part of this package, the NHS will increase its oversight of practices with the most acute issues in relation to access, and GP appointment data will be published at practice level by spring next year. This will enhance transparency and accountability, as monthly data is currently only published by clinical commissioning group.
In addition, patients will get the opportunity to rate their practice’s performance, via text message, based on their most recent experience of accessing support. This survey, which has been previously agreed with the profession, is being piloted in around 60 practices and will be rolled out next year.
Together with the government and Academy of Medical Royal Colleges, the NHS will also develop a zero-tolerance campaign on abuse of NHS staff, including GP teams.
General practice teams have delivered more than 300 million appointments over the last year as well as delivering the vast majority of Covid vaccinations, saving lives and protecting millions of people against the virus at speed.
Health Minister Maria Caulfield said: “As a nurse on the frontline during the pandemic I know how hard GPs and their teams have worked, while recognising how badly so many people want to see their GPs in person.
“This plan will give our dedicated general practices the support needed to increase capacity, boosting the number of appointments for patients to see and speak to their GP practice.
“I look forward to continuing to work with the sector to ensure patients can get the care they need.”
Patients will also be able to see different types of clinicians in general practice, who can best meet their needs and conditions, including pharmacists, paramedics, advanced nurse practitioners and nursing associates.
NHS England will also work with the government to consider how far and fast the role of pharmacists can be increased in the supply of medication, as part of relieving workload on GPs.
Government’s ‘rescue package’ for GPs is flawed and patient care will suffer as result, warns BMA
“It’s truly frightening that we have a government so ignorant to the needs of such a core part of the NHS”
Responding to the publication by the Department of Health and NHS England and NHS Improvement today, outlining their plans to improve access for NHS patients and support for GPs, BMA GP committee chair Dr Richard Vautrey said: “After weeks of promising an ‘emergency package’ to rescue general practice, we’re hugely dismayed that whilst additional funding has been promised, the package as a whole offers very little and shows a Government completely out of touch with the scale of the crisis on the ground.
“GPs and their teams will now be facing the worst winter for decades, and as a result, patients’ care will suffer. Appointments will be harder to book, waiting times will get longer, more of the profession could leave and GPs will struggle to cope.
“It is also disappointing to see that there is no end in sight to the preoccupation with face-to-face appointments; we need a more intelligent conversation about the variety of appointments and care that are available to patients to meet their needs.
“While in-person consultations are a key feature of general practice and absolutely necessary for some patients and certain conditions, the pandemic has proven that in many other cases, phone or video appointments are entirely appropriate and appreciated by patients, and a crude focus on percentages or targets is completely unhelpful.
“Throughout our discussions with ministers and NHS England in recent weeks, the BMA has been clear that without a concerted effort to reduce bureaucracy, admin and red tape in practices, patient access and care was at risk.
“Unfortunately, today’s offer merely tinkers around the edges, and will not reduce the unnecessary burden practices carry and therefore free up any more time for doctors to see more patients. We need an end to target-driven, payment-by-results, care and allow practices to look after patients in a way that is flexible and right for the person in front of them and the Government have missed an opportunity to tackle this.
“Reducing the administrative burden on GPs by reforming who can provide medical evidence and certificates such as Fit notes and DVLA checks, won’t happen for some time and is a mere drop in the ocean as what is needed is urgent action now to free up sufficient time for more appointments.
“While the additional £250m is welcome, it must be easy for practices to access rapidly and they must not be forced to have to produce reams of plans or try to meet unattainable targets to get it – which has often happened in the past.
“We had four simple asks – and only one appears to have been fully answered. Increased sentencing for assaulting healthcare workers is something we asked for, but meaningless if the same Government refuses to address the crisis fuelling such abuse. The Secretary of State has started to address a second, by talking more positively about general practice but he needs to do much more to publicly support the profession when we are under such pressure and facing a torrent of abuse on a daily basis.
“These proposals will only confirm the profession’s belief that ministers and NHS England fail to understand the dire state of general practice – or that they, not hardworking GPs, are to blame.
“It’s truly frightening that we have a government so ignorant to the needs of such a core part of the NHS. GPs want to improve the care we offer to our patients, but today’s offer will not enable us to do that as we had hoped.
“GPs across England will be truly horrified that this is being presented as a lifeline to general practice, when in reality it could sink the ship all together. There can be no doubt that this lack of action at such a critical time will force many GPs to hang up their stethoscopes and leave the profession for the last time.”
The British Medical Association (BMA) has urged the UK Government this week to rethink its plan to relax all restrictions owing to the surge in COVID-19 infection rates.
The association has been a leading voice in the debate on the issue on the national and international media.
Senior BMA members including chair of council Chaand Nagpaul and co-chairs of the BMA’s public health committee Penelope Toff and Richard Jarvis co-signed a letter in TheLancet published on Thursday – which described the easing of restrictions as ‘reckless’.
Dr Nagpaul also appeared on the BBC’s Newsnight last night (9 July) saying it was ‘folly’ for the UK Government to press ahead with easing all restrictions on 19 July. He pointed to the growing evidence of spiralling infections leading to growing hospitalisations as well as wider effects on public health.
‘We need to dispel the idea we’ve broken the link with hospitalisations. It’s diluted but we have about three times as many people on ventilators than this time last month and two and a half times more people in hospital than last month,’ he said and added that if the trends continue this will further increase the pressures on the NHS.
Dr Nagpaul added that this was not simply a secondary care issue but there were now growing numbers of the population suffering from the condition not going to hospital many of whom will go on to have long COVID.
The BMA is arguing for the UK Government to maintain some targeted control measure in place after 19 July including the requirement to continue wearing face coverings in indoor public settings and improved messaging on social distancing and meeting outdoors where possible.
Dr Nagpaul (above) said full easing on the timescale proposed ‘defied public health logic’ – further unlocking of restrictions was a matter of timings rather than ‘indefinite restrictions’. Dr Nagpaul also appeared on CNN on Thursday arguing for targeted restrictions to remain.
Following Monday’s press conference by the prime minister, the chief medical officer and the chief scientific adviser, the BMA issued a statement describing the proposed easing of restriction as ‘incredibly concerning’.
‘There is a clear disconnect with the actions the Government is planning to take and the data and views of the scientific community and medical profession,’ it says.
On Monday evening deputy council chair David Wrigley appeared on Channel 5 News to reflect on the announcement and said getting rid of restrictions was ‘reckless’ and was a ‘recipe for seeing an increase in infections which is not good for the NHS and not good for patients’.
The situation in Scotland remains concerning, where Covid levels are among the highest in Europe and hospitals are coming under increasing pressure.
The Scottish Cabinet meets on Tuesday morning and First Minister Nicola Sturgeon will update Holyrood on Scotland’s plans for moving to Level 0 on Tuesday afternoon.
The Scottish Government had originally planned that all parts of Scotland woud be in level zero from 19 July, allowing some additional relaxation to rules on physical distancing and outdoor gatherings.
Following these initial easings in July, the plan is that more restrictions will be removed on 9 August, including lifting the legal requirement to physically distance indoors.
However the Scottish Government has repeatedly said it will be driven by ‘data not dates’ and First Minister Nicola Sturgeon said earlier this week that these dates are not written in ‘tablets of stone’.
The British Medical Association is urging the Government to keep some targeted measures to control the spread of Covid-19 in place after 19 July in England, amid a continued worrying rise in case numbers.
Weekly cases in England are up 74% on the previous seven days, while the number of people admitted to hospitals in England with Covid-19 has risen by 55% over the last week.
The 19th of July – in just over two weeks’ time – is the earliest time the Government has said it will consider removing all legal restrictions, however both the Prime Minister and the new Health and Social Care Secretary have indicated that some measures could stay beyond this date – something the BMA says is crucial to stop spiralling case numbers having a devastating impact on people’s health, the NHS, the economy and education.
The BMA says these measures and support should include:
Ongoing requirements to wear a mask in enclosed public spaces, such as public transport, shops, healthcare settings and in communal areas in educational settings, where adequate ventilation and distancing are often not possible.
Significantly improved public messaging and education, emphasising that while the virus continues to circulate, practising social distancing and meeting outdoors or in well-ventilated spaces – and wearing masks when this is not possible – remains the best way to reduce risk of infection and keep yourself safe.
Greater guidance and support for businesses and educational settings to create sustainable, Covid-secure environments, as well as enforcement of standards.
Emphasis on the importance of good ventilation, including setting legal standards. Financial and other support for businesses and educational settings must be made available to implement these requirements ahead of the autumn and winter period, when respiratory viruses spread more easily and buildings must be kept warm, limiting options for natural ventilation.
Dr Chaand Nagpaul, BMA council chair, said: “As case numbers continue to rise at an alarming rate due to the rapid transmission of the Delta variant and an increase in people mixing with one another, it makes no sense to remove restrictions in their entirety in just over two weeks’ time.
“The promise was to make decisions based on data and not dates, and while we were pleased to see the Government react to data in delaying the easing on 21 June last month, ministers must not now simply disregard the most recent, damning, numbers by rushing into meeting their new 19th July deadline.
“It’s not a binary decision of ‘all or nothing’, and the sensible, cautious measures that we are proposing, will be vital in minimising not just the impact of rising case numbers on people’s individual health and the health service, but also wider damage to the economy and society, caused by even further waves, new variants and lockdowns.
“We have made excellent progress with both the vaccination campaign and individual action from people across the country over the last 18 months, and the Government must absolutely not throw this away at this critical juncture.
“While the vaccination programme continues at pace, a significant proportion of people remain either unvaccinated or partially vaccinated. This is on top of those who cannot receive the jab or the small number for whom immunisation will be ineffective.
“Neither will all those vaccinated by 19th July be properly protected given it takes about two weeks after the second dose to confer maximum immunity. This means we are still some way from protecting enough of the population from this devastating illness to control the spread.
“Meanwhile although hospitalisations remain relatively low in comparison to the steep rise in cases, the numbers are increasing at pace, with twice as many Covid patients in beds and on ventilators than this time last month.
“This is a particular worry for doctors and their colleagues who are faced with a record backlog of care put on hold by the first waves of the pandemic, and in which even modest increases in hospital admissions will undermine treating the 5 million patients currently on waiting lists.
“Even if people aren’t getting admitted to hospital at the same rate, spiralling levels of community transmission provides a fertile ground for new, potentially vaccine-resistant variants to develop.
“Also worrying is evidence that one in 10 people suffer longer-term impacts of long-Covid after even a mild infection, with an estimated 2 million people in England having lived with long-lasting symptoms. These factors could have serious consequences for the NHS and public health teams as well as business, education and wider society – therefore stemming the spread of the virus in the community with a series of manageable, targeted measures must be the priority right now.
“Everyone appreciates the efforts and sacrifices we have all made so far to suppress the spread of the virus, and it would be tragic if we were to undo this good work now. We are not asking for a full delay on 19th July, rather a series of sensible, targeted measures that will help prevent transmission of the virus while having a minimal impact on people’s daily lives.
“Our appeal is to both the Government to keep appropriate measures in place, and to the public to continue acting in a careful, responsible manner – giving other people space, wearing face coverings in areas where physical distancing isn’t possible and recognising that the virus won’t simply stop posing a serious danger in two weeks’ time.”
Scotland’s First Minister Nicola Sturgeon insisted yesterday that Scotland’s so-called ‘Freedom Day’is still on track for August, despite a huge surge in coronavirus cases that threatens to pile further pressure on hospitals and health services struggling to cope.
She urged people to get vaccinated at yesterday’s Coronavirus media briefing:
Good afternoon. Thanks for joining Jason and I. There are a few issues I want to cover today – including some important information about vaccinations.
But I will start with a summary of today’s statistics.
The total number of positive cases reported yesterday was 3,823.
That is 10.8% of all of the tests carried out.
The total number of confirmed cases now stands at 289,279.
There are 285 people currently in hospital – which is 10 more than yesterday.
And 19 people are in intensive care, which is 3 more than yesterday.
Unfortunately 4 deaths were reported in the past 24 hours, and that takes the total number of deaths under our daily definition, is now 7,726.
As always, my condolences are with everyone who has been bereaved.
Let me also briefly update on the vaccination programme.
As of this morning, 3,831,770 people have received a first dose of the vaccine.
That’s an increase of 15,519 since yesterday.
In addition, 14,622 people got a second dose yesterday. That brings the total number of second doses to 2,737,347. Now today’s vaccine numbers actually take us across quite a significant milestone. More than 60% of those eligible for the vaccine have now had both doses, but as of today, more than 50% of the entire population is now fully vaccinated. That is an important milestone and one that will be increasing our levels of protection against this virus.
I have a couple of points that I want to cover before I reflect on the overall course of the pandemic, and stress some of our key public health messages, which are of particular importance given the high number of cases that are being reported right now.
The first is to confirm that further funding for Covid matters is being made available to health boards today.
Almost £380 million is being allocated to help with additional costs this year – including for the vaccination programme, the test and protect system, and personal and protective equipment.
This is on top of the £1.7 billion for Covid which was allocated last year to Health Boards and Health and Social Care Partnerships.
Further funding will of course be made available as necessary over the course of the year.
Although we hope we are in the process of emerging from the pandemic, we can see from the situation at the moment, that Covid will continue to place pressures on our health and care services – so we will continue to ensure that they have all the funding that they need to respond to those pressures.
The second point I want to cover relates to vaccination. Getting vaccinated is probably the single most important thing any of us can do right now.
That’s why I strongly welcome a joint statement that has been issued this morning by business organisations and the Scottish Government. It urges people to get vaccinated – and also urges employers to encourage and support employees to get vaccinated.
The statement recognizes that a successful vaccination programme is crucial obviously for our public health, but if it protects our public health then it will always also be good for the economy. So anything employers can do to support people to get vaccinated, will be beneficial for them, as well as for their workers.
That said, the Government has the primary responsibility for ensuring that the vaccination programme is effective – and we are working with health boards to make sure it is as accessible as possible.
I am therefore pleased to confirm today that from Monday, all mainland health boards will offer drop-in vaccination centres for all adults.
These centres will be able to provide first doses to anyone over the age of 18 who has not had a first dose yet. They will also be open for second doses to anyone who had their first dose 8 or more weeks ago, and has not yet had their second dose.
So if you haven’t had a first dose yet – or if you are now due for a second dose – from Monday, you’ll be able to visit a drop-in centre in order to get one. And let me stress, you can do this even if you have had a letter giving you an appointment, or if you have missed an appointment. If you’d rather turn up next week to drop in, you can do that even if you’ve had an appointment scheduled for a week or two from now.
Two health boards – Greater Glasgow and Clyde, and Lothian – will also be providing mobile vaccination units as drop-in centres in some areas, and that is about helping, effectively, to take vaccine to people where we perhaps think there has been particular challenges with uptake.
Information about the drop-in vaccination centres in your health board area, will be available online, so I would encourage you to check this out over the weekend. You can also find out more through the NHS Inform website, or by following your health board area on social media.
Appointments of course will still be scheduled, so if it does suit you better to wait for a scheduled appointment, and you find that more convenient, that is fine.
Everyone in Scotland who is over 18 should now have received an appointment date for a first jag. If you haven’t, then you can turn up at a drop-in clinic – but you can also self-register on the NHS Inform site and get an appointment scheduled.
You can also use the NHS Inform website to rearrange the time or location of your appointment if you need to.
Basically, what we are trying to do is make it as easy and as accessible for as many as possible, so you can turn up from next week to a drop-in centre, you can keep your scheduled appointment, you can rearrange your scheduled appointment. Any of these ways is going to be possible because we want as many people getting these jags as possible.
The importance our vaccination programme is especially evident now. We are continuing to deal with a surge in new cases, heavily driven by the dominance of the Delta variant of the virus.
Vaccination is the reason that surge in cases has not led to the re-imposition of a strict lockdown – as it would have done at any earlier stage in the pandemic.
But now, the vaccines are doing much of the work that lockdown measures previously had to do.
We’ve discussed quite a lot recently the fact that vaccination is weakening the link between new cases, and serious health harms.
For example the proportion of people who get Covid, who now require hospital treatment, fell from around 13% in January, to 3% at the start of June. We continue to monitor that very closely.
All of that is positive.
But – and this is quite a significant but that I’m very deliberately injecting at this stage – all of us do still need to play a part, over and above getting vaccinated to make sure we get through this next period as safely as possible.
The rise in cases is a reminder that we still need to be cautious.
This variant of the virus is spreading quickly, and it is still potentially dangerous.
No vaccine is 100% effective. But these ones are very effective – after two doses. So even if you still get the virus, your chances of becoming very ill with it are much reduced.
That should give assurance to people – especially those who are older or living with other health conditions. I know many of you in particular will be worried right now as you see cases continuing to spike.
I want to assure you that we are not complacent about this. Our priority is to extend vaccine coverage as quickly as possible. That is our best line of protection.
But we are also encouraging renewed caution on behalf of the population while we do so.
Because our biggest vulnerability just now is that there are still, notwithstanding the success of the programme, a lot of people who do not yet have the protection of both doses.
That is why we are making it easier for people to get vaccinated. We are vaccinating as quickly as supplies – and also the clinical advice on timing of second doses – allows us to do.
While we do this, our collective priority must be to do all we can to slow the virus down. That really matters.
The fact is if cases continue to rise as they have been doing, then – despite the effectiveness of the vaccine – we will see pressure build on the NHS. And of course a lot of people being unwell.
Even if only 3% of cases need hospital care now – compared to 13% at the start of the year – on the case numbers we are seeing just now, that will still be a lot of people ending up in hospital.
We should also remember, many people who get Covid but don’t end up in hospital – including many younger people – could still suffer health harms such as long Covid.
I know everyone is tired of hearing this, but I must say again as we do see, we hope, the end point to restrictions in sight, for now we must be careful, especially for these next few weeks while we continue to get the protection from vaccination extended as far as possible.
There are three key things in particular that we all need to do just now.
Firstly – as I have said, vaccination is what will get us out of this.
So make sure that you get vaccinated when you are invited to do so, or turn up next week to a drop-in clinic and get vaccinated then. Just to remind everybody, that applies to all adults who haven’t had a first dose yet. Even if you’ve missed an appointment, don’t worry about that, you can turn up and get your first dose now. And if you’ve had your first dose 8 weeks or more ago, you can turn up to get your second dose at one of these drop-in centres.
Vaccination is how we protect ourselves and it is how we get out of this, so please make sure you’re playing your part by getting both jags as soon as it is possible for you to do so.
Second, please use the opportunities to get tested regularly – this is especially important if you are planning to visit somewhere or visit somebody. Take a lateral flow test before you go just to give that added bit of reassurance.
Free lateral flow tests are available through the NHS inform website.
You can have them sent to you in the post. You can also now collect them from local and regional test sites, or from community pharmacies.
And of course if you test positive through one of these lateral flow devices – or if you have symptoms of the virus – please make sure that you self-isolate, and book a PCR test as quickly as possible. That’s vitally important.
And finally, continue to follow the key rules where you live and all the basic but really important public health advice – for example on physical distancing, hand-washing and face coverings.
Stay outdoors as much as you can if you’re meeting other people.
And if you are meeting people indoors, which in limited numbers is now allowed, please stick to the limits on group sizes, and open the windows. Make sure you’re washing your hands and surfaces, and keeping the room as ventilated as possible.
That still applies, of course, if you are watching the football or the tennis.
If you’re planning to watch the quarter finals of the Euros this weekend, please remember the indoor gathering limits and remember all of the advice that helps keep that environment as risk free as it’s possible to do.
So these are the things that we need to continue to observe right now.
Get vaccinated, get tested and follow the guidance, and where applicable follow the rules.
We are all utterly sick of this. I do believe, just as I have said up until now, that we are seeing the end in sight. But whether we get to that end point, though vaccination, safely or whether we get to it with lots of pressure on our NHS, lots more people getting this virus, comes down to how all of us behave and how successful we are in slowing down the virus while the vaccines get ahead and ultimately win the race for us.
So thank you very much for your continued patience, thank you for your continued observance of all of this, and please for these next few weeks let’s all stick with it to get us through this.
There have been renewed calls for the UK Government to take real action to protect BAME communities from COVID 19.
New figures released by the ONS show that the rate of deaths for black males was over three times greater than that for white males of the same age, while the rate for black females was more than twice as great than for white females.
Men of Bangladeshi, Pakistani and Indian ethnic backgrounds also were found to be one and a half times more likely to die than their white counterparts, after adjustments were made for population characteristics.
The ONS’s analysis also found that Muslim, Jewish, Hindu and Sikh people all have higher risks of death.
Rehana Azam, GMB national secretary said: “Why is it that if you are from a black, Asian, and minority ethnic background, are you still more likely to be killed by coronavirus?
“We’ve known this for weeks, and yet still no major action has taken place to protect BAME communities by government.
“These figures are a huge wake up call. The time for talking is over. We don’t need further data or consultations. We need action from the government, and we need it now.”
British Medical Association (BMA) council chair Dr Chaand Nagpaul has also demanded the Government address the effect of COVID-19 on BAME (black, Asian and minority ethnic) communities – calling for immediate timelines for action plans instead of further consultations and reviews.
Dr Nagpaul asked the Government to implement the recommendations from a recent PHE (Public Health England) review urgently.
Dr Nagpaul said: ‘Our view as a profession, and my view, is that we’ve had enough reports, we’ve had enough reviews, we’ve had previous commissions. We know what the problems are.
“What we now need is an action plan. That’s what we asked for from the publication of the PHE review so each of those recommendations now needs to be populated with timescales of action plans and what needs to be done.
“Remember, the Government commissioned the PHE review – as the commissioner it now needs to respond not with some other commission but really with what is going to be done now. We’ve discussed many of the issues can be addressed very quickly and others may take some time. That’s what needs to happen.”
Marsha de Cordova MP, Labour’s Shadow Women and Equalities Secretary, said: “Across the globe, racial injustice has always had a devastating impact on society, and coronavirus has demonstrated the deadly consequences of when racial inequalities go unchecked.
“These findings are yet more evidence of the need for urgent action on this issue. But instead we have seen denial and delay from the Government.”
Plans for investment and reform to give GPs more time with patients most in need of their skills have been published by the Scottish Government. A new GP contract, jointly designed and agreed with the British Medical Association, will be the biggest reform of GPs services in over a decade. The proposals have been welcomed by the Scottish Greens, who say the plan is a step in the right direction in tackling health inequality.Continue reading GPs offered new contract
